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SAN JOAQUIN COUNTY <br />ENVIRONMENTAL HEALTH DEPARTMENT <br />600 East Main Street, Stockton, California 95202-3029 <br />Telephone: (209) 468-3420 Fax: (209) 468-3433 Web: www.sipov.org/ehd/unitiii.htmi <br />UNDERGROUND STORAGE TANK (UST) PROGRAM INSPECTION REPORT <br />Facilit <br />Name: Unified Grocers Inc <br />Address: 1990 North Piccoli Road, Stockton <br />Da eection Nov 28, 2011 <br />Facility <br />Jack <br />Duke <br />Title: <br />Maintenance Manager <br />e: <br />9-9440x8530 <br />Contact: <br />Inspection <br />Type: <br />XRoutine XMonitoring System Certification 1 1 Installation Complaint - ID#: Other: <br />(Authority HSC 25289) <br />G� M <br />Consentfor. <br />}(Inspection XSampling }(Photos <br />Granted by: Title: �,�L+� <br />Monitoring <br />Panel: <br />VRt TLS -350 <br />eeder-Root- <br />Piping <br />System: Pressurized _! Suction Gravity <br />Overfil l <br />Prevention: Mechanical Audible/visual <br />UST <br />2 <br />-------------------------- <br />- - - - - - - <br />- - - - - - - <br />------------- <br />- - <br />--- <br />- Product <br />- -DSL ---- <br />Designated <br />Operator <br />R.Schmidt,M.Young <br />Dae: 05/13,06/13 <br />Violations: M1 -Release Detection M2 -Release Prevention M3 - Both <br />Site Service AC <br />Te Asa Cosby <br />Technician: <br />ICCExp. 5252300 -UT Manufacturers <br />Date: Training: i <br />Dat VR# 50 Vf i v <br />t <br />`VIOLATIONS <br /># Cl <br />C2 M Code Section <br />HSC = California Health and SafetyCode; CCR = California Code of Regulations <br />Cl = Class 1 violation; C2 = Class 2 violation; M = Minor violation <br />101 <br />HSC 25284 <br />No permit to operate <br />102 <br />HSC 25404.5 <br />Annual operating fees not paid <br />103 <br />HSC 25284(a)(3) <br />No written agreement between the person that the operating permit was issued to and the tank operator to <br />monitor the tanks stem <br />104 <br />HSC 25292.2 <br />Current financial responsibility documents not on file with the Environmental Health Department (EHD : 5 <br />105 <br />CCR 2711 <br />Current Unified Program Consolidated Forms not on file with the EHD (Facility and tank form) <br />106 <br />CCR 2632(b) <br />Monitoring Program (Monitoring & Response Plans) is not current or approved by the EHD <br />107 <br />CCR 2632(d)(1)(C) <br />Plot plan/site map not submitted or fails to completely show where monitoring is performed <br />Secondary containment: (a) test not performed; (e) test report not submitted within 30 days; (f) test notification <br />108 <br />CCR 2637 <br />not provided to the EHD at least 48 hours prior to conducting the tesf, ij <br />Monitoring equipment certification: (a) not performed annually; (d) test report not submitted within 30 days; <br />109 <br />CCR 2638 <br />(e) test notification not provided to the EHD at least 48 hours prior to conducting an installation, repair, <br />replacement, calibration, or certification I-7 <br />110 <br />HSC 25291 (1) <br />Annual line leak detector test not performed (M1) <br />111 <br />HSC 25284.2 <br />Annual spill containment testing not performed <br />112 <br />CCR 2636(f)(4) <br />Annual line tightness test not performed if positive shutdown or fail safe not present (M1) <br />113 <br />CCR 2715(a) <br />Failed to inform the EHD of a change of designated operator within 30 days <br />114 <br />CCR 2715(b) <br />Designated operator does not possess a current ICC CA UST System Operator certification <br />115 <br />CCR 2660(k) <br />Repair for tank or piping not tested for tightness after completion of the repair pursuant to (M2) <br />permit conditions <br />116 <br />HSC 25292.5 <br />Enhanced leak detection (ELD) testing not performed on a system located within 1000' of public well, or <br />failures not repaired and retested <br />117 <br />CCR 2661 <br />Permit to repair UST system not obtained <br />118 <br />HSC 25286(a) <br />Operational permit not amended when UST storage and/or monitoring system changed <br />119 <br />HSC 25298(b) <br />Permit to temporarily close UST system not obtained <br />120 <br />HSC 25298(c) <br />Permit to close UST system not obtained <br />s <br />Maintenance & monitoring records not maintained 3 years, cathodic protection records for 6%years, written <br />performance claims pertaining to release detection systems for 5 years, or records of repairs, linings, and <br />201 <br />CCR 2712(b) <br />upgrades for the life of the tank. Monitoring records include: (1) date and time of all monitoring or sampling; <br />(2) monitoring equipment calibration and maintenance records; (3) results of any visual observations; (4) <br />results of sample analysis performed a lab or in the field; (5) logs of all readings of gauges or other monitoring <br />equipment, round water elevations, or other test results; 6 results of inventory readings and reconciliations <br />202 <br />CCR 2712(1) <br />Monitoring plan, response plan, and/or operating permit and all conditions not onsite <br />Unauthorized release that: (c) did not escape secondary containment and cleaned up within eight hours (M1) <br />203 <br />CCR 2650 <br />was not recorded; (e) escaped secondary containment, not cleaned up after eight hours, or a sudden loss of <br />product was not reported to the EHD within 24 hours <br />Thuy Tran (209) 468-8257 <br />EHD 23-02 Rev 09/01/11 Page 1 UST INSPECTION REPORT <br />4Z <br />